Student Handbook and Planner Acknowledgment
Student Handbook and Planner Acknowledgment
Today's Date
Today's Date
*
/
MM
/
DD
YYYY
Name
Name
*
First
Last
Student ID Number (located on Student ID or schedule)
Start with the letter "U" followed by 8 digits *
*
Program
*
Program
First option
Second option
Third option
Barbering
Certified Nursing Assistant (CNA)
Child Development Associate
College Preparation
Cosmetology
Culinary Arts
Customer Service Professional
Emergency Medical Technician
English for Speakers of Other Languages (ESOL)
High School Equivalency
Home Health Aide
Licensed Practical Nurse
Medical Secretary
Office Support Specialist
Pharmacy Technician
Pre-Vocational Studies
Security Guard
Sterile Processing Technician
Teacher Assistant
Email
Phone
Phone
*
-
###
-
###
####
Address
Address
*
Street Address
Address Line 2
City
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
Postal / Zip Code
United States
Country
I acknowledge that I have completed the new student orientation and will adhere to the student policies and procedures as outlined in the REOC student handbook.
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.